Individual
DR. ROGER RAICHELSON
Active
Individual
DR. ROGER RAICHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
189329
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006424
GHI
NY
01
—
010189329NY01
ANTH
NY
05
—
01524758
—
NY
01
—
040426011772
BHP
NY
01
—
13319642703
1199
NY
01
—
189329
HIP
NY
01
—
2999503
CIGNA
NY
01
—
319915
MVP
NY
01
—
41687
GHI HMO
NY
01
—
4494737
AETNA
NY
01
—
NY6798
PHS
NY
Enumeration date
08/02/2005
Last updated
07/08/2007
Update your record
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